Individual
EMILY JEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3530 FOOTHILLS RD, LAS CRUCES, NM 88011-3626
(575) 532-6054
(575) 532-0215
Mailing address
3530 FOOTHILLS RD, LAS CRUCES, NM 88011-3626
(575) 649-0899
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F03220063
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720736804
NPI
NM
Enumeration date
03/16/2022
Last updated
10/31/2022
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